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前足的实用超声检查

Practical US of the forefoot.

作者信息

Bianchi Stefano

机构信息

CIM SA, Cabinet d'Imagerie Médical, route de Malagnou 40A, 1208 Geneva, Switzerland.

出版信息

J Ultrasound. 2014 Mar 13;17(2):151-64. doi: 10.1007/s40477-014-0078-5. eCollection 2014 Jun.

DOI:10.1007/s40477-014-0078-5
PMID:24883138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4033725/
Abstract

Disorders affecting the forefoot are common in the clinical practice. Accurate history and physical examination are the mainstays of diagnosis but imaging modalities are frequently obtained to confirm the clinical suspicion and plan appropriate treatment. In this article we will present the ultrasound (US) technique of examination of the forefoot followed by a brief description of the normal US anatomy and of US appearance of the most frequent forefoot disorders; rheumatoid arthritis, osteoarthritis, overuse arthropathy, Morton neuromas, bursitis, mucoid cysts, foreign bodies, bone disorders.

摘要

影响前足的疾病在临床实践中很常见。准确的病史和体格检查是诊断的主要依据,但经常需要借助影像学检查来证实临床怀疑并制定合适的治疗方案。在本文中,我们将介绍前足的超声(US)检查技术,随后简要描述正常的US解剖结构以及最常见的前足疾病的US表现;类风湿关节炎、骨关节炎、过度使用性关节病、莫顿神经瘤、滑囊炎、黏液囊肿、异物、骨疾病。

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本文引用的文献

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Ultrasound-guided needle localization to aid foreign body removal in pediatric patients.超声引导下针定位辅助小儿患者异物取出术。
J Foot Ankle Surg. 2014 Jan-Feb;53(1):67-70. doi: 10.1053/j.jfas.2013.09.006. Epub 2013 Nov 13.
2
Ultrasound imaging for diagnosis of plantar plate ruptures of the lesser metatarsophalangeal joints: a retrospective case series.超声成像用于诊断小趾跖趾关节跖板破裂:一项回顾性病例系列研究
J Foot Ankle Surg. 2013 Nov-Dec;52(6):786-8. doi: 10.1053/j.jfas.2013.05.009. Epub 2013 Jul 16.
3
Methylprednisolone injections for the treatment of Morton neuroma: a patient-blinded randomized trial.甲泼尼龙注射治疗 Morton 神经瘤:一项患者盲法随机试验。
J Bone Joint Surg Am. 2013 May 1;95(9):790-8, S1. doi: 10.2106/JBJS.I.01780.
4
Metatarsophalangeal joint instability of the lesser toes.小趾跖趾关节不稳
J Foot Ankle Surg. 2014 Jul-Aug;53(4):440-5. doi: 10.1053/j.jfas.2013.03.005. Epub 2013 Apr 19.
5
Interventional musculoskeletal ultrasonography: Precautions and contraindications.介入性肌肉骨骼超声检查:注意事项与禁忌证
J Ultrasound. 2010 Sep;13(3):126-33. doi: 10.1016/j.jus.2010.09.004. Epub 2010 Nov 5.
6
Ultrasound-guided injection in osteoarticular pathologies: general principles and precautions.超声引导下骨关节病介入治疗:基本原则与注意事项。
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Feasibility of first metatarsophalangeal joint injections for sesamoid disorders: a cadaveric investigation.跖趾关节注射治疗籽骨病变的可行性:尸体研究。
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